Media Accreditation CanWEA 2012

CanWEA 2012 - MEDIA ACCREDITATION FORM

Thank you for your interest in attending this year's event. In order to set up your media pass in advance, please fill out the media accreditation form below. To pick up your media pass, simply visit the CanWEA Media Office when you arrive. The Media Office is located in the Direct Energy Centre, Room 109.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Media Affiliation

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* 5. Website

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* 6. Mailing Address

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* 7. City

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* 8. Prov/State

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* 9. Postal/Zip Code

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* 10. Country

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* 11. Phone

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* 12. Fax

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* 13. Please select your media category:

Online

Television

TV Crew

Photo Journalist

Radio

Videographer

Other (please specify)

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* 14. Briefly, what are your general areas of interest within the conference? (Optional)

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* 15. Are there particular presenters you would like to interview? (Optional)

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* 16. When and where do you expect to publish your articles/stories? (Optional)